Okura Psych-Mental Health Fellow Application Mentee Form. City State Zip code. 1. Membership in AAPINA from (date):

Size: px
Start display at page:

Download "Okura Psych-Mental Health Fellow Application Mentee Form. City State Zip code. 1. Membership in AAPINA from (date):"

Transcription

1 Okura Psych-Mental Health Fellow Application Mentee Form Name: Date: Address: Mailing address City State Zip code Phone: Degrees/Credentials: Employer: Organization/Agency Address City State Zip code 1. Membership in AAPINA from (date): 2. Number of years employed as a psych-mental health nurse: 3. Do you currently work with psych-mental health patients? Yes No a. If yes, how many hours per week do you work with patients? b. What percentage of your patient population are Asian Americans/Native Hawaiian or other Pacific Islanders? 4. If selected as a fellow will you be willing to attend and present at the annual AAPINA national conference? Yes No If selected as a fellow will you be willing to serve as a mentor for future fellows? Yes No 5. List your references (letters should be included with this application): 1. Name, Title and Credentials

2 Employment 2. Name, Title and Credentials Employment

3 Okura Psych-Mental Health Fellow Application Mentor Form Name: Date: Address: Mailing address City State Zip code Phone: Degrees/Credentials: Employer: Organization/Agency Address City State Zip code 1. Membership in AAPINA from (date): 2. Number of years employed as a psych-mental health nurse: 3. Do you currently work with psych-mental health patients? Yes No a. If yes, how many hours per week do you work with patients? b. What percentage of your patient population are Asian Americans/Native Hawaiian or other Pacific Islanders? 4. If selected as a mentor will you be willing to attend and present at the annual AAPINA national conference? Yes No If selected as a mentor will you be willing to serve as a mentor for future fellows? Yes No 5. Do you have experience in mentoring? Yes No 5. Please describe your research and or scholarly activities:

4 6. Explain why you feel you would be a qualified mentor:

5 ATTENTION AAPINA MEMBERS AAPINA received the Okura Mental Health Leadership Foundation Scholarship Development grant for Asian/Pacific Islander nurses working in the area of mental health. This is a three year grant which begins in 2014 and we are looking for members (10 in this first year and 10 every year thereafter for three years) who are interested in applying to be a fellow in this leadership and scholarship development program. We are also looking for five senior members qualified to serve as mentors. If you are selected as a fellow you will be matched with a mentor based on similar areas of interest. This mentorship program will include coaching and instructional sessions on: navigating academia and clinical practice; dissemination of research results; networking skills; developing effective communication skills in leadership roles; reciprocity; art of negotiation; and conflict resolution. The aims of this proposed leadership and scholarship development program are: 1. Provide leadership and scholarship mentoring programs to promising API nurses interested in the mental health needs of Asian American (AA) and Native Hawaiian/other Pacific Islanders (NHOPI). Specifically, to develop leaders in the mental health field through research and clinical practice. 2. Develop professional and leadership skills of nurses at various levels in the field of mental health nursing. Applicants applying to be mentors must meet the following criteria: 1. Evidence of research and/or scholarly productivity in areas related to mental health of Asian American and Pacific Islanders. Evidence in this area includes: publications and presentations in conferences. 2. Evidence of advanced practice or leadership position in sites that provide mental health services to Asian Americans and Native Hawaiians/other Pacific Islanders. Evidence in this area includes advance certification in practice and/or administration, successful mentorship, publications and presentations. 3. Membership in AAPINA. Applicants applying to be a fellow must meet the following criteria: 1. Active membership in AAPINA for at least one year who is also a junior faculty or advance practice nurse 2. Must be willing to attend and contribute to the annual leadership seminar and mentorship program. Be willing to participate as alumni after fellowship period ends by assuming the role of mentor to new fellows in this program. 3. Demonstrates promising professional achievement in the mental health area Those interested in becoming a fellow please complete the following: 1. Complete the attached application form 2. In addition, submit a three page (single space) proposal addressing the following points: a. Reason for your interest in this program b. Description of your proposed project which should include: (i) goal(s), (ii) relevant background information; (iii) target population, (iv) methods/approach, and (v) expected outcome(s). Also include your task list and timeline. c. A current curriculum vitae d. Two letters of recommendation All of your documents should be incorporated into one file and sent to: Dr. Elizabeth Gonzalez at: by February 15, 2014.

Developing your Portfolio

Developing your Portfolio Developing your Portfolio Considerations for Career Advancement Elizabeth Nelson, MD Associate Dean Undergraduate Medical Education University of Texas at Austin Dell Medical School Alignment of Goals

More information

American Indian College Fund & Alfred P. Sloan Foundation Leadership Fellowship Program In Science, Mathematics and Engineering

American Indian College Fund & Alfred P. Sloan Foundation Leadership Fellowship Program In Science, Mathematics and Engineering Educating the Mind & Spirit American Indian College Fund & Alfred P. Sloan Foundation Leadership Fellowship Program In Science, Mathematics and Engineering The American Indian College Fund's Mission The

More information

Call for Applications

Call for Applications Johnson & Johnson Campaign for Nursing s Future - American Association of Colleges of Nursing Minority Nurse Faculty Scholars Program 2013-2014 Academic Year Call for Applications The American Association

More information

Mass- NAHN Aspiring Leader Mentorship Program

Mass- NAHN Aspiring Leader Mentorship Program Boston, MA. 02114 www.massnahnboston.com Mass- NAHN Aspiring Leader Mentorship Program The National Association of Hispanic Nurses is a non- profit professional association committed to the promotion of

More information

Mentoring for FLAI Meeting candidate needs, a model of best practice

Mentoring for FLAI Meeting candidate needs, a model of best practice Meeting candidate needs, a model of best practice Trevor Peare, FLAI, Keeper (Readers Services) Trinity College Library Dublin "Mentoring is to support and encourage people to manage their own learning

More information

General Membership Handbook

General Membership Handbook General Membership Handbook Revised: December 22, 2010 Table of Contents 1. Membership as a Research Scientist A. Membership Requirements B. Eligibility C. Application Process D. Fees E. Renewal Process

More information

save your application often

save your application often 1 of 11 6/21/2013 4:10 PM To apply for a WSRP Research Associate and Visiting Faculty position, please fill in the form below. Please save your application often by hitting the Save Document button at

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Instructions for Applicants to the PhD Program Web page address: www.son.rochester.edu The University of Rochester School of Nursing uses a self-managed application

More information

Apply to Host a Massachusetts Promise Fellow!

Apply to Host a Massachusetts Promise Fellow! 2010-2011 Host Site RFP Instructions Apply to Host a Massachusetts Promise Fellow! * Proposals Due By 5pm on Monday, February 1 st, 2010 * Contributing Partners: Northeastern University College of Professional

More information

APPLICATION FOR ADMISSION

APPLICATION FOR ADMISSION CHEYNEY OF PENNSYLVANIA SCHOOL OF EDUCATION AND PROFESSIONAL STUDIES APPLICATION FOR ADMISSION DEGREE AND PROGRAM (CHECK ALL THAT APPLY) Call Me MISTER Undergraduate Program TS 2 Project Undergraduate

More information

APHA PUBLIC HEALTH NURSING SECTION ANNOUNCES PUBLIC HEALTH NURSING SCHOLARSHIP PROGRAM

APHA PUBLIC HEALTH NURSING SECTION ANNOUNCES PUBLIC HEALTH NURSING SCHOLARSHIP PROGRAM APHA PUBLIC HEALTH NURSING SECTION ANNOUNCES PUBLIC HEALTH NURSING SCHOLARSHIP PROGRAM The Public Health Nursing Section of the American Public Health Association invites BSN students who plan to engage

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Instructions for Applicants to the DNP Program Web page address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing

More information

FNRE Scholarship Application

FNRE Scholarship Application East Holly Avenue, Box 56! Pitman, New Jersey 08071-0056 (856)256-2343 FAX (856)589-7463 FNRE Scholarship Application Foundation for Neonatal Research and Education (FNRE) (Instructions--please read prior

More information

Instructions for Applicants: Leadership in Health Care Systems Masters Program Health Promotion, Education & Technology

Instructions for Applicants: Leadership in Health Care Systems Masters Program Health Promotion, Education & Technology Instructions for Applicants: Leadership in Health Care Systems Masters Program Health Promotion, Education & Technology The University of Rochester, School of Nursing uses a self-managed application process

More information

New Hampshire Nursing Diversity Pipeline Project NH Future of Nursing Scholars Program Application 2011 2012 Academic Year

New Hampshire Nursing Diversity Pipeline Project NH Future of Nursing Scholars Program Application 2011 2012 Academic Year New Hampshire Nursing Diversity Pipeline Project NH Future of Nursing Scholars Program Application 2011 2012 Academic Year A Project of the Partners Investing in Nursing s Future Initiative You Are The

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Instructions for Applicants to the MS-PhD Accelerated Programs Web page address: www.son.rochester.

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Instructions for Applicants to the MS-PhD Accelerated Programs Web page address: www.son.rochester. UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Instructions for Applicants to the MS-PhD Accelerated Programs Web page address: www.son.rochester.edu The University of Rochester School of Nursing uses a self-managed

More information

UMHS LEADERSHIP AT ALL LEVELS BROWN BAG. Mentoring, Sponsorship, and Networking. Sonya Jacobs, M.S., Director of Faculty Development 11.16.

UMHS LEADERSHIP AT ALL LEVELS BROWN BAG. Mentoring, Sponsorship, and Networking. Sonya Jacobs, M.S., Director of Faculty Development 11.16. UMHS LEADERSHIP AT ALL LEVELS BROWN BAG Mentoring, Sponsorship, and Networking Sonya Jacobs, M.S., Director of Faculty Development 11.16.11 Explain the difference between mentoring, sponsorship, and networking

More information

Submit your originals and the photocopies to:

Submit your originals and the photocopies to: Your Name: Available Institute Scholarships: Please specify which scholarship program(s) you are applying for by placing a check in the appropriate box next to the program. You are eligible to apply for

More information

Saint Francis Medical Center College of Nursing Peoria, Illinois. Doctor of Nursing Practice. Application for Admission

Saint Francis Medical Center College of Nursing Peoria, Illinois. Doctor of Nursing Practice. Application for Admission Saint Francis Medical Center College of Nursing Peoria, Illinois Doctor of Nursing Practice Application for Admission Saint Francis Medical Center College of Nursing 511 N.E. Greenleaf Street, Peoria,

More information

NIDA-AACAP Resident Training Award Application

NIDA-AACAP Resident Training Award Application NIDA-AACAP Resident Training Award Application NIDA-AACAP Resident Training Award in Substance Abuse and Addiction, supported by the National Institute on Drug Abuse The NIDA-AACAP Resident Training Award

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing Nurse Practitioner

More information

Teaching Portfolio: a Template to Document Your Teaching Activities and Education Scholarship

Teaching Portfolio: a Template to Document Your Teaching Activities and Education Scholarship Teaching Portfolio: a Template to Document Your Teaching Activities and Education Scholarship Clinician/Teacher Pathway Department of Medicine, University of Washington The following list suggests the

More information

NURSE PRACTITIONER APPLICATION PACKET

NURSE PRACTITIONER APPLICATION PACKET NURSE PRACTITIONER APPLICATION PACKET ADMISSIONS CONTACTS: MSN Program Director Dr. Vera Dauffenbach 920-433-6624 vera.dauffenbach@bellincollege.edu Administrative Assistant Nancy McCulley 920-433-6628

More information

Financial Assistance Programs State Incentive Grant Information Overview: Board:

Financial Assistance Programs State Incentive Grant Information  Overview: Board: South Carolina AHEC Rural Physician Program Financial Assistance Programs 19 Hagood Avenue, Suite 802 Incentive Grant Information MSC 814 Charleston, South Carolina 29425-8140 August 2015 The Legislature

More information

Categories of Data. Communication & Journalism as a Broad Field

Categories of Data. Communication & Journalism as a Broad Field Graduate Enrollment and Degrees in Communication/Journalism: Benchmarking Data from the Council of Graduate Schools/Graduate Record Examinations Survey Since 1986, the Council of Graduate Schools (CGS)

More information

MASTER OF EDUCATION (M.ED.) IN SPECIAL EDUCATION AT REINHARDT UNIVERSITY

MASTER OF EDUCATION (M.ED.) IN SPECIAL EDUCATION AT REINHARDT UNIVERSITY MASTER OF EDUCATION (M.ED.) IN SPECIAL EDUCATION AT TRANSFORMING PROFESSIONAL EDUCATORS INTO DISTINGUISHED RESPONSIVE AND COLLABORATIVE CLASSROOM TEACHERS, ACTION RESEARCHERS, AND INSTRUCTIONAL LEADERS

More information

COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS & SURGEONS SPURS. A Biomedical Research Program (For Students at CUNY Senior Colleges)

COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS & SURGEONS SPURS. A Biomedical Research Program (For Students at CUNY Senior Colleges) A Biomedical Research Program (For Students at CUNY Senior Colleges) The Summer Program for Under-Represented Students ( ), a Biomedical Research Program, is designed to provide under-represented minority

More information

Brigit Carter, PhD, MSN, RN Assistant Professor Project Director, Health Equity Academy

Brigit Carter, PhD, MSN, RN Assistant Professor Project Director, Health Equity Academy Brigit Carter, PhD, MSN, RN Assistant Professor Project Director, Health Equity Academy Conflict of Interest No conflict of interest to report Acknowledgments Nursing Workforce Diversity Program, Bureau

More information

Deadline for application submission for the fellowship is April 1, 2011. All application materials must be enclosed in one sealed envelope.

Deadline for application submission for the fellowship is April 1, 2011. All application materials must be enclosed in one sealed envelope. Purpose: The purpose of this fellowship is to provide training and funds for tuition and related educational expenses to undergraduate and graduate students in the School of Psychology, Family and Community

More information

MELLON MAYS UNDERGRADUATE FELLOWSHIP PROGRAM 2014 CANDIDACY INFORMATION AND INSTRUCTION THE MELLON MAYS PROGRAM AT BOWDOIN COLLEGE

MELLON MAYS UNDERGRADUATE FELLOWSHIP PROGRAM 2014 CANDIDACY INFORMATION AND INSTRUCTION THE MELLON MAYS PROGRAM AT BOWDOIN COLLEGE MELLON MAYS UNDERGRADUATE FELLOWSHIP PROGRAM 2014 CANDIDACY INFORMATION AND INSTRUCTION Completed applications from sophomores due on Monday, February 17, 2014 INCOMPLETE AND/OR LATE APPLICATIONS WILL

More information

THE CHANCELLOR S DOCTORAL INCENTIVE PROGRAM. Commitment to Excellence with Diversity 2016/2017 APPLICATION. www.calstate.

THE CHANCELLOR S DOCTORAL INCENTIVE PROGRAM. Commitment to Excellence with Diversity 2016/2017 APPLICATION. www.calstate. THE CHANCELLOR S DOCTORAL INCENTIVE PROGRAM Commitment to Excellence with Diversity 2016/2017 APPLICATION www.calstate.edu/hr/cdip TABLE OF CONTENTS CHANCELLOR S DOCTORAL INCENTIVE PROGRAM OVERVIEW...

More information

Peace, Security and Development Fellowship for African

Peace, Security and Development Fellowship for African UNIVERSITY OF NAIROBI Call for Applications Peace, Security and Development Fellowship for African Scholars Including MSc Security, Leadership and Society http://www.kcl.ac.uk/sspp/sga/alc/study/the-msc-security,-leadership--society-.aspx

More information

University Of Rochester School of Nursing. Leadership in Health Care Systems Masters Program Clinical Nurse Leader

University Of Rochester School of Nursing. Leadership in Health Care Systems Masters Program Clinical Nurse Leader University Of Rochester School of Nursing Leadership in Health Care Systems Masters Program Clinical Nurse Leader Thank you for your interest in the University of Rochester School of Nursing Clinical Nurse

More information

Deborah F. Toth-Dennis 109 Water Land Ct. Frederick, Maryland 21702 H 301.663.6651 C 301.523.1089 E-mail: ohanakepola@prodigy.net

Deborah F. Toth-Dennis 109 Water Land Ct. Frederick, Maryland 21702 H 301.663.6651 C 301.523.1089 E-mail: ohanakepola@prodigy.net Deborah F. Toth-Dennis 109 Water Land Ct. Frederick, Maryland 21702 H 301.663.6651 C 301.523.1089 E-mail: ohanakepola@prodigy.net Summary of Qualifications and Accomplishments A mother of 1 biological

More information

Partners HealthCare and the University of Massachusetts, Boston, College of Nursing and Health Sciences

Partners HealthCare and the University of Massachusetts, Boston, College of Nursing and Health Sciences Partners HealthCare and the University of Massachusetts, Boston, College of Nursing and Health Sciences The Scholarship to Advance Workforce Diversity Overview The Institute of Medicine s 2004 report,

More information

DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING BACHELOR OF SCIENCE IN NURSING PROGRAM APPLICATION

DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING BACHELOR OF SCIENCE IN NURSING PROGRAM APPLICATION I am applying for the Fall of : Year Full-time Part-time 1. Name in Full (Last) (First) (Middle) 2. Home Address (Number & Street or RFD) (City) (State) (Zip) (County) 3. Mailing Address (If different

More information

Sex: Male Female Date of Birth: / / Native Language: (MM/DD/YYYY)

Sex: Male Female Date of Birth: / / Native Language: (MM/DD/YYYY) APPLICATION FORM FOR ADMISSION TO THE DOCTORAL PROGRAM Application Date Name (Mr., Ms.) (Last/Family Name) (First/Given Name) (M.I.) Previous Name (if applicable) (Last/Family Name) (First/Given Name)

More information

PROFESSIONAL SKILLS DEVELOPMENT FOR GRADUATE STUDENTS

PROFESSIONAL SKILLS DEVELOPMENT FOR GRADUATE STUDENTS PROFESSIONAL SKILLS DEVELOPMENT FOR GRADUATE STUDENTS EXECUTIVE SUMMARY Professional skills development for graduate students has been a topic of discussion among university graduate communities and members

More information

University of Illinois at Chicago Emergency Medicine Simulation and Medical Education Fellowship

University of Illinois at Chicago Emergency Medicine Simulation and Medical Education Fellowship University of Illinois at Chicago Emergency Medicine Simulation and Medical Education Fellowship The University of Illinois Simulation and Medical Education Fellowship is designed for Emergency Medicine

More information

COURSE PREFIX AND NUMBER: -

COURSE PREFIX AND NUMBER: - Improving Health Education Distance Education Courses in Health Education Student Opinion Survey PURPOSE AND BACKGROUND: The purpose of this survey is to obtain your opinion on the Distance Education courses

More information

Academic Achievement Scholarship Application Spring 2015 Semester

Academic Achievement Scholarship Application Spring 2015 Semester Academic Achievement Scholarship Application Due: Friday, October 31, 2014 IMPORTANT: This application is intended for students who DO NOT receive Financial Aid assistance and have COMPLETED one full semester

More information

DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING RN TO BSN CONMPLETION PROGRAM APPLICATION

DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING RN TO BSN CONMPLETION PROGRAM APPLICATION RN TO BSN CONMPLETION PROGRAM APPLICATION I am applying for the Summer of Full-time Part-time 1. Name in Full (Last) (First) (Middle) 2. Home Address (Number & Street or RFD) (City) (State) (Zip) (County)

More information

TO: JUNIOR FACULTY. Eligible Fields

TO: JUNIOR FACULTY. Eligible Fields 2015 Career Enhancement Fellowships for Junior Faculty TO: JUNIOR FACULTY Eligible Fields Humanities: American and English Literatures, Foreign Languages and Literatures (including Area/Cultural/Ethnic/Gender

More information

Faculty of Health Sciences Master of Nursing Graduate Supervision Manual A guide for faculty and students

Faculty of Health Sciences Master of Nursing Graduate Supervision Manual A guide for faculty and students Faculty of Health Sciences Master of Nursing Graduate Supervision Manual A guide for faculty and students 1 University of Lethbridge Mission: The University of Lethbridge is Alberta s Destination University.

More information

Application for Admission

Application for Admission School of Nurse Anesthesia Application for Admission NorthShore University HealthSystem School of Nurse Anesthesia does not discriminate in admission decisions on the basis of race, color, age, religion,

More information

Continuing Education. Online Program: M.S. in Educational Leadership. Dear Colleague:

Continuing Education. Online Program: M.S. in Educational Leadership. Dear Colleague: Continuing Education Online Program: M.S. in Educational Leadership Dear Colleague: We are very pleased that you are interested in becoming an educational leader! California has a great need for bold,

More information

Doctor of Education (Ed.D.) in Educational Leadership

Doctor of Education (Ed.D.) in Educational Leadership APPLICATION FOR ADMISSION Doctor of Education (Ed.D.) in Educational Leadership Neumann University Graduate Admissions Office One Neumann Drive Aston, Pennsylvania 19014-1298 610-361-5208 www.gradadultadmiss.edu

More information

Just The Beginning A Pipeline Organization Summer Legal Institute D.C.-Maryland-Virginia

Just The Beginning A Pipeline Organization Summer Legal Institute D.C.-Maryland-Virginia Just The Beginning A Pipeline Organization Summer Legal Institute D.C.-Maryland-Virginia Monday, July 7-Friday, July 11, 2014 Hosted by Howard University School of Law The Summer Legal Institute (SLI)

More information

Cross Cultural Education at UHM School of Nursing

Cross Cultural Education at UHM School of Nursing Cross Cultural Education at UHM School of Nursing Cross Cultural Healthcare Conference Kristine Qureshi, RN, DNSc, CEN, APHN-BC October 7, 2011 Support for cross-cultural education in the School of Nursing

More information

2008 Virginia Doctoral Nursing Student Loan Assistance Repayment Program

2008 Virginia Doctoral Nursing Student Loan Assistance Repayment Program Purpose of the Program: This fund will provide loans to full-time doctoral students who are accepted to, or enrolled in, a nursing program in the Commonwealth of Virginia. The purpose of this program is

More information

RISE INTERNSHIP APPLICATION

RISE INTERNSHIP APPLICATION RISE INTERNSHIP APPLICATION National Institutes of Health (NIH) NIH Minority Biomedical Research Support (MBRS) Research Initiative for Scientific Enhancement (RISE) Program The Minority Biomedical Research

More information

Mentoring at the School of Nursing

Mentoring at the School of Nursing Why develop a mentoring program for junior faculty in the School of Nursing (SON)? Impetus came because of concerns raised regarding the quality of CVs submitted for mid-tenure reviews A large number of

More information

Admission Packet. Checklist. College of Graduate Studies and Degree Completion Program

Admission Packet. Checklist. College of Graduate Studies and Degree Completion Program Admission Packet and Checklist Application for Admission Application Fee Official Transcript Request Essay Résumé Financial Aid Application Application for Admission (1 of 2) If you prefer, apply online

More information

WHITTIER COLLEGE. Application for Admission Teacher Credential Program. Department of Education & Child Development

WHITTIER COLLEGE. Application for Admission Teacher Credential Program. Department of Education & Child Development WHITTIER COLLEGE Department of Education & Child Development Application for Admission Teacher Credential Program 13406 E. Philadelphia Street P.O. Box 634 Whittier, CA 90608 562-907- 4248 Fax: 562-464-

More information

Virginia Doctoral Nursing Student Loan Assistance Repayment Program

Virginia Doctoral Nursing Student Loan Assistance Repayment Program Virginia Doctoral Nursing Student Loan Assistance Repayment Program This fund will provide loans to full-time graduate nursing students who are accepted to or enrolled in a doctoral nursing program in

More information

COMPARISON OF CLINICIAN TEACHER AND SALARIED CLINICAL FACULTY PATHWAYS, PSYCHIATRY AND BEHAVIORAL SCIENCES 9/22/14

COMPARISON OF CLINICIAN TEACHER AND SALARIED CLINICAL FACULTY PATHWAYS, PSYCHIATRY AND BEHAVIORAL SCIENCES 9/22/14 COMPARISON OF CLINICIAN TEACHER AND SALARIED CLINICAL FACULTY PATHWAYS, PSYCHIATRY AND BEHAVIORAL SCIENCES 9/22/14 Clinician Teacher Primary responsibilities Clinical care Teaching and/or supervision Scholarship

More information

School of Business and Graduate Studies School of Education Or apply online at www.trinitydc.edu/admissions

School of Business and Graduate Studies School of Education Or apply online at www.trinitydc.edu/admissions Graduate Application for Admission School of Business and Graduate Studies School of Education Or apply online at www.trinitydc.edu/admissions PERSONAL INFORMATION Mr. Ms. Mrs. Name: Last First Middle

More information

Promise of Nursing Regional Faculty Fellowship Program

Promise of Nursing Regional Faculty Fellowship Program FOUNDATION OF THE NATIONAL STUDENT NURSES ASSOCIATION, INC. In Memory of Frances Tompkins 45 Main Street, Suite 606 Brooklyn, NY 11201 Phone: (718) 210-0705 WWW.NSNA.ORG CLICK ON FOUNDATION Promise of

More information

Health Insurance by Race/Ethnicity: 2008

Health Insurance by Race/Ethnicity: 2008 2008 WASHINGTON STATE POPULATION SURVEY Research Brief No. 52 December 2008 U WASHINGTON STATE OFFICE OF FINANCIAL MANAGEMENT Health Insurance by Race/Ethnicity: 2008 Contributor: Erica Gardner sing data

More information

LAMAR UNIVERSITY MCNAIR SCHOLARS PROGRAM APPLICATION 2014-2015

LAMAR UNIVERSITY MCNAIR SCHOLARS PROGRAM APPLICATION 2014-2015 LAMAR UNIVERSITY MCNAIR SCHOLARS PROGRAM APPLICATION 2014-2015 Application Deadline: Wednesday, October 15, 2014 Applications can be sent electronically using this form or delivered to the McNair Scholars

More information

STRONG CENTER FOR DEVELOPMENTAL DISABILITIES TRAINEE APPLICATION FORM

STRONG CENTER FOR DEVELOPMENTAL DISABILITIES TRAINEE APPLICATION FORM STRONG CENTER FOR DEVELOPMENTAL DISABILITIES TRAINEE APPLICATION FORM LEND is a training grant funded by the U.S. Health Resources and Services Administration (HRSA) through the Maternal Child Health Bureau

More information

Teaching Faculty Policy

Teaching Faculty Policy Teaching Faculty Policy Revised: September 1, 2011 Entities Affected by this Policy All full-time non-tenure track teaching and clinical faculty Issuing Office Office of the Provost Contents I. Overview...

More information

Charles L. Warren Memorial Heritage Scholarship 2016

Charles L. Warren Memorial Heritage Scholarship 2016 2016 Chuck as he was known to his many colleagues and friends counseled and advised numerous students during his years of service in the guidance profession before his untimely passing from cancer in July

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Accelerated Bachelor s Program for Non-Nurses

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Accelerated Bachelor s Program for Non-Nurses UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Bachelor s Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

More information

Application for Participation in the GEM Consortium

Application for Participation in the GEM Consortium Application for Participation in the GEM Consortium I. UNIVERSITY PROFILE AND DIVERSITY: A. University: Primary contact person and contact information: Name: Title: Department: Address 1: Address 2: City:

More information

THE CHANCELLOR S DOCTORAL INCENTIVE PROGRAM. Commitment to Excellence with Diversity 2014/2015 APPLICATION. www.calstate.

THE CHANCELLOR S DOCTORAL INCENTIVE PROGRAM. Commitment to Excellence with Diversity 2014/2015 APPLICATION. www.calstate. THE CHANCELLOR S DOCTORAL INCENTIVE PROGRAM Commitment to Excellence with Diversity 2014/2015 APPLICATION www.calstate.edu/hr/cdip TABLE OF CONTENTS CHANCELLOR S DOCTORAL INCENTIVE PROGRAM OVERVIEW...

More information

December 6, 2011. Kenneth A. Tokuno, Associate Dean Graduate Division. Dexter J L Choy, Graduate Chair School of Travel Industry Management

December 6, 2011. Kenneth A. Tokuno, Associate Dean Graduate Division. Dexter J L Choy, Graduate Chair School of Travel Industry Management December 6, 2011 MEMO TO: FROM: RE: Kenneth A. Tokuno, Associate Dean Graduate Division Dexter J L Choy, Graduate Chair School of Travel Industry Management Annual Program Quality Report A comprehensive

More information

Instructions for Application for Admission

Instructions for Application for Admission JOAN AND SANFORD I. WEILL GRADUATE SCHOOL OF MEDICAL SCIENCES OF CORNELL UNIVERSITY APPLICATION FOR ADMISSION New York, NY 10065, USA Tel: (646) 962-5050 Fax: (646) 962-0620 Instructions for Application

More information

VACANCIES ASSOCIATE PROFESSOR COMMUNICATION

VACANCIES ASSOCIATE PROFESSOR COMMUNICATION VACANCIES Daystar University is a chartered interdenominational and evangelical Christian University. Its mission is the development of Christian Servant Leaders for the expansion of God s kingdom in Africa

More information

PLANNING GUIDE FOR EFFECTIVE ROTARY CLUBS

PLANNING GUIDE FOR EFFECTIVE ROTARY CLUBS PLANNING GUIDE FOR EFFECTIVE ROTARY CLUBS Rotary International The Planning Guide for Effective Rotary Clubs is a tool to help clubs assess their current state and establish goals for the coming year.

More information

Johns Hopkins University School of Medicine. Application for Postdoctoral Research Fellowship Training

Johns Hopkins University School of Medicine. Application for Postdoctoral Research Fellowship Training Johns Hopkins University School of Medicine Application for Postdoctoral Research Fellowship Training General Instructions for Completion of this Application Each section must be complete and legible or

More information

An Invitation to Apply: Dean of the Byrdine F. Lewis School of Nursing Georgia State University, Atlanta

An Invitation to Apply: Dean of the Byrdine F. Lewis School of Nursing Georgia State University, Atlanta An Invitation to Apply: Dean of the Byrdine F. Lewis School of Nursing Georgia State University, Atlanta THE SEARCH Georgia State University, a leading public research university, located in downtown Atlanta

More information

Master of Fine Arts in Writing

Master of Fine Arts in Writing MFA in Writing Application Guidelines Materials to submit Application form. Please type or print in ink. Creative manuscript. Submit work in the genre you wish to study. Students in the MFA program must

More information

Thank you for your interest in the Summer Nursing Intern Program at Johnson Memorial Health Services.

Thank you for your interest in the Summer Nursing Intern Program at Johnson Memorial Health Services. Name: Thank you for your interest in the Summer Nursing Intern Program at Johnson Memorial Health Services. Please complete the application packet. Interns must be enrolled in a summer internship course

More information

Leadership. Development. at AACN

Leadership. Development. at AACN Leadership Development at AACN Leadership Devel Leadership development has been a cornerstone of AACN s programs and services since the association s inception more than 40 years ago. Designed to provide

More information

the CHANCELLOR S INCENTIVE PROGRAM Commitment to Excellence with Diversity 2013/2014 APPLICATION www.calstate.edu/hr/cdip

the CHANCELLOR S INCENTIVE PROGRAM Commitment to Excellence with Diversity 2013/2014 APPLICATION www.calstate.edu/hr/cdip the CHANCELLOR S DOCTORAL INCENTIVE PROGRAM Commitment to Excellence with Diversity 2013/2014 /201 APPLICATION www.calstate.edu/hr/cdip TABLE OF CONTENTS CHANCELLOR S DOCTORAL INCENTIVE PROGRAM OVERVIEW...1

More information

e. American Academy of Healthcare Interior Designers (AAHID) f. Certified Aging in Place Specialist (CAPS) g. National Kitchen and Bath Certification

e. American Academy of Healthcare Interior Designers (AAHID) f. Certified Aging in Place Specialist (CAPS) g. National Kitchen and Bath Certification Survey Instrument 1. Your academic rank a. Instructor b. Assistant Professor c. Associate Professor d. Full Professor e. Other 2. Your age a. Under 25 b. 25 34 c. 35 44 d. 45 54 e. 55 64 f. 65 over 3.

More information

Master of Science in Nursing

Master of Science in Nursing Saint Francis Medical Center College of Nursing Peoria, Illinois Master of Science in Nursing Application for Admission Saint Francis Medical Center College of Nursing 511 N.E. Greenleaf Street, Peoria,

More information

DEFINITION OF MENTORSHIP

DEFINITION OF MENTORSHIP 1 College of Nursing Mentorship Program The College of Nursing is committed to the career development of members of the faculty. To this end, the College provides mentorship for members of the faculty

More information

REGISTRATION for Designated Participants from Mentor Partner Organizations

REGISTRATION for Designated Participants from Mentor Partner Organizations REGISTRATION for Designated Participants from Mentor Partner Organizations In order to save your application to complete at a later time, you must choose Save & Resume Later, otherwise you will lose your

More information

Bishop Antonio Thomas Memorial Scholarship Application

Bishop Antonio Thomas Memorial Scholarship Application EILM Office of Scholarships Columbus Christian Center Church Spirit of Life Church International 2300 N. Cassady Avenue Columbus, OH 43219 (614) 416-9673 www.eilm.org PURPOSE The Bishop Antonio D. Thomas

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

More information

GILLIAM FELLOWSHIPS for ADVANCED STUDY

GILLIAM FELLOWSHIPS for ADVANCED STUDY HOWARD HUGHES MEDICAL INSTITUTE GILLIAM FELLOWSHIPS for ADVANCED STUDY 2016 PROGRAM ANNOUNCEMENT Application Deadline: February 4, 2016 Award Notification: June 2016 Fellowship Term Begins: September 1,

More information

The Future of Nursing: Campaign for Action

The Future of Nursing: Campaign for Action The Future of Nursing: Campaign for Action An Update Linda Burnes Bolton, DrPH, RN, FAAN, VP for Nursing, CNO, and Director of Nursing Research, Cedars Sinai Medical Center 1 Campaign for Action: Key Areas

More information

PLANNING GUIDE FOR EFFECTIVE ROTARY CLUBS

PLANNING GUIDE FOR EFFECTIVE ROTARY CLUBS PLANNING GUIDE FOR EFFECTIVE ROTARY CLUBS August 2009 The Planning Guide for Effective Rotary Clubs is a tool to help clubs assess their current state and establish goals for the coming year. It is based

More information

NURSE FACULTY LEADERSHIP ACADEMY APPLICATION PACKET. 2016-2017 Cohort

NURSE FACULTY LEADERSHIP ACADEMY APPLICATION PACKET. 2016-2017 Cohort NURSE FACULTY LEADERSHIP ACADEMY APPLICATION PACKET 2016-2017 Cohort Academy Purpose and Overview The Sigma Theta Tau International Nurse Faculty Leadership Academy (NFLA) presented in partnership with

More information

Dr. Nancy Mosbaek Doctorate in Nursing Scholarship 2015-2016 APPLICATION

Dr. Nancy Mosbaek Doctorate in Nursing Scholarship 2015-2016 APPLICATION Dr. Nancy Mosbaek Doctorate in Nursing Scholarship 2015-2016 APPLICATION Kansas State Board of Nursing 900 S.W. Jackson; Suite 1051 Topeka, KS 66612 A. BACKGROUND INFORMATION 1. Name Last First M.I. 2.

More information

Ohio Association for College Admission Counseling Charles L. Warren Memorial Heritage Scholarship 2015

Ohio Association for College Admission Counseling Charles L. Warren Memorial Heritage Scholarship 2015 2015 Scholarship Information The is awarded by the Ohio Association for College Admission Counseling each year to outstanding high school seniors. The scholarship is a one-time $1,500 award. CRITERIA FOR

More information

SPRING 2016 UNDERGRADUATE SCHOLARSHIP APPLICATION

SPRING 2016 UNDERGRADUATE SCHOLARSHIP APPLICATION SPRING 2016 UNDERGRADUATE SCHOLARSHIP APPLICATION General Eligibility Requirements for Scholarships: 1. Applicant must be admitted to or enrolled as a full-time student in the UAB School of Nursing. Full-time

More information

NOTICE TO APPLICANT. 2. You must meet one of the following criteria to be considered for the NJAFS Scholarship:

NOTICE TO APPLICANT. 2. You must meet one of the following criteria to be considered for the NJAFS Scholarship: REVISED :November 20, 2015 NOTICE TO APPLICANT Listed below are the requirements for the New Jersey Association of Forensic Scientists Scholarship Award. Please review the requirements carefully before

More information

DEPARTMENT OF ANESTHESIOLOGY AND PAIN MEDICINE ANESTHESIOLOGY RESIDENCY PROGRAM BONICA SCHOLARS PROGRAM PROGRAM DESCRIPTION, GOALS, AND OBJECTIVES

DEPARTMENT OF ANESTHESIOLOGY AND PAIN MEDICINE ANESTHESIOLOGY RESIDENCY PROGRAM BONICA SCHOLARS PROGRAM PROGRAM DESCRIPTION, GOALS, AND OBJECTIVES DEPARTMENT OF ANESTHESIOLOGY AND PAIN MEDICINE ANESTHESIOLOGY RESIDENCY PROGRAM BONICA SCHOLARS PROGRAM PROGRAM DESCRIPTION, GOALS, AND OBJECTIVES 1. INTRODUCTION 2. PROGRAM DESCRIPTION a. Program timeline

More information

2016 Leadership Development Program for Simulation Educators

2016 Leadership Development Program for Simulation Educators 2016 Leadership Development Program for Simulation Educators Applicant Information Please complete this information. All information is required. Name (with credentials): Home Street Address, City, State,

More information

ADMISSION APPLICATION

ADMISSION APPLICATION ADMISSION APPLICATION THE APPLICATION PROCESS 1. Complete this application (or complete the online application at nl.edu/applyonline)* 2. Refer to the appropriate Application Checklist for program requirements

More information

CURRICULUM VITAE. John G. Doe, M.D., Ph.D. Associate Professor of Medicine (and include Administrative Title) Division of Cardiology

CURRICULUM VITAE. John G. Doe, M.D., Ph.D. Associate Professor of Medicine (and include Administrative Title) Division of Cardiology UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE STANDARD FORMAT FOR CV All materials (except the bibliography) should be listed with the most recent items first CURRICULUM VITAE John G. Doe, M.D., Ph.D.

More information

SUBMISSION DEADLINE 12/31/15

SUBMISSION DEADLINE 12/31/15 Chuck Cooper Foundation Scholarship Application SUBMISSION DEADLINE 12/31/15 The Chuck Cooper Foundation is a 501 (c) (3) charity which was established to honor the legacy of Pittsburgh native and Duquesne

More information

Program Application 2015-2016

Program Application 2015-2016 Executive Leadership & Coaching Program Program Application 2015-2016 OVERVIEW National Urban Fellows is proud to announce the launch of the 2015 2016 Executive Leadership & Coaching (ELC) Program. Developed

More information

Tenured Assistant Specialist, Assistant Director of Practicum, 8/08 Present

Tenured Assistant Specialist, Assistant Director of Practicum, 8/08 Present Curriculum Vitae CHRISTINE NOWAK LANGWORTHY, MSW, ACSW, LSW University of Hawai`i at Mānoa Myron B. Thompson School of Social Work 1800 East-West Road, Room 130 Honolulu, Hawai i 96822 EDUCATION University

More information

LEADING THE WAY: Training Future Leaders through the Kellogg MSI Leadership Fellows Program

LEADING THE WAY: Training Future Leaders through the Kellogg MSI Leadership Fellows Program LEADING THE WAY: Training Future Leaders through the Kellogg MSI Leadership Fellows Program Jamie P. Merisotis, President Institute for Higher Education Policy USA Conference on Trends in the Management

More information

Professional Technical Teacher Education Bachelor of Applied Science Program

Professional Technical Teacher Education Bachelor of Applied Science Program Professional Technical Teacher Education Bachelor of Applied Science Program APPLICATION FOR ADMISSION FALL 2016 1 st Review Due Date: May 13, 2016 Applications received after the first review will be

More information